MEDICARE: DR. RANDALL KERWIN MELNAR D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	CH9728	FL

General Provider Information

NPI Number	:	1831413038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL KERWIN MELNAR D.C.

Provider Business Mailing Address
First Line	:	5781 BAYSHORE RD
Second Line	:	# 103
City	:	N FT MYERS
State	:	FL
Zip	:	33917-3003
Country	:	US
Telephone Number	:	239-567-0010
Fax Number	:

Provider Business Practice Location Address
First Line	:	5781 BAYSHORE RD
Second Line	:	# 103
City	:	N FT MYERS
State	:	FL
Zip	:	33917-3003
Country	:	US
Telephone Number	:	239-567-0010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2010
Last Update Date	:	03/17/2010

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